HomeMy WebLinkAbout0154817-Building (remodel bathroom) ` � CITY OF OSHKOSH No 154817
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OSHKOSH BUILDING PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2005 ALLERTON DR Owner MR/MRS ROBERT C PENZENSTADLER Create Date 03/22/2013
Designer Contractor REBATH OF CENTRAL WISCONSIN ____
Inspector Nicole Krahn
Category * 140-Interior Remodeling Plan __
Type � Building � Sign � Canopy � Fence � Raze
Zoning R-1 __ Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection ' :
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation � Poured Concrete � Floating Slab � Pier � Other
� Concrete Block 0 Post � Treated Wood -- -
Occupancy Permit Required Occupancy Fee $0.00 Flood Plain __ Height Permit
Park Dedication #Dwelling Units 0 #Structures _ 0
Use/Nature iSFR/Remodeling the bathroom to include the installation of a new fiberglass shower,walls and shower door. This permit does not �
of Work �linclude the plumbing permit.
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HVAC Contractor Plumbing Contractor MT.MORRIS PLUMBING
Electric Contractor
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Park Dedication $0.00
Issued By: �/� ��- Date 03/22/2013 Final/O.P. 00/00/0000 :
❑ Permit Voided Parcel Id# 1316990000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity. :
I have read and understand the afore mentioned information.
Signature Date
AgenUOwner
Address 230 N KOELLER ST OSHKOSH WI 54902 -4109 Telephone Number (920)303-5797 :
* 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR ,
Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see
the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
.. : .Ma r 21. 2013�11 : 38AN� . ��REBATH CENTRAL WI 9203035935. . .::.:;:.�� �. . � :�... .. No. 3982 -"P, 3/4'����=���u.. .
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,. Permit Type Residential Single Fantily Residential Duplex Ccimmercial . lvlultifamily Industria!
Catagory . � New Addition Alteration- _
, . �'roject . '
U.escription . � � . . . . . '
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Mechanicwl Separate.permits will be obtained for the following:;
Permits " ' �.:Electrical b � . ' � � �
Y Plumbing by
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Value�ofJob� $ . . . . . :. . . ... .... . .;.
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• (Value for metcrials&Jabor is req_to cnsure u,resis�tcncv in aeeessin
. g Perrnit fccs for�►�p�j�ts.)
� Payment bY� � Check' # . � C�sh' ' ` .,
�P.erm.it'Ree.Account .�>:
I cer�tif�rfie abovelnjnrma�ion u co,r ple�e,m�d aceura�e. My de��iatior�,r from�hP aGove suhmi[1ed infurinarior may requn.e uddit;una/pe„�i�
[e be ob(ained lacknow� ge�,nd agree to lhese terms . . .
Name:� ��.� � (Please princ). ' � Daie: "�� °� �
� Sigm3fure:.. � � b
Received Time Mar, 21, 2013 11 : 29AM No. 2584